| 1 | DISTRIBUIDORA FARMACEUTICA ECUATORIANA (DIFARE) S.A. | US$ 910.415.423 | US$ 14.812.896 | 4.847 | Guayas |
| 2 | FARMAENLACE CIA. LTDA. | US$ 653.060.710 | US$ 26.474.391 | 5.428 | Pichincha |
| 3 | LETERAGO DEL ECUADOR S.A | US$ 546.460.648 | US$ 7.388.188 | 571 | Pichincha |
| 4 | ECUAQUIMICA ECUATORIANA DE PRODUCTOS QUIMICOS CA | US$ 280.994.557 | US$ 3.285.638 | 801 | Guayas |
| 5 | MEGALABS-PHARMA S.A. | US$ 159.581.440 | US$ 6.674.576 | 415 | Pichincha |
| 6 | LABORATORIOS BAGO DEL ECUADOR S.A. | US$ 103.857.558 | US$ 21.459.014 | 422 | Pichincha |
| 7 | MEDICAMENTA ECUATORIANA SA | US$ 123.370.974 | US$ 6.208.448 | 271 | Pichincha |
| 8 | ABBOTT LABORATORIOS DEL ECUADOR CIA. LTDA. | US$ 85.425.085 | US$ 3.260.339 | 221 | Pichincha |
| 9 | MEDILABOR S.A. | US$ 29.300.133 | US$ -2.533.915 | 190 | Pichincha |
| 10 | FARMADIAL S.A. | US$ 27.255.415 | US$ 2.608.153 | 346 | Guayas |
| 11 | BOEHRINGER INGELHEIM DEL ECUADOR CIA LTDA | US$ 56.434.082 | US$ 54.332 | 49 | Pichincha |
| 12 | FARMACIAS KEYLA S.A. FARMAKEYLA | US$ 67.231.591 | US$ 1.757.216 | 610 | Guayas |
| 13 | GLAXOSMITHKLINE ECUADOR S.A. | US$ 26.318.876 | US$ 285.470 | 46 | Pichincha |
| 14 | KENVUE ECUADOR S.A. | US$ 38.912.506 | US$ 4.276.288 | 27 | Guayas |
| 15 | GRUNENTHAL ECUATORIANA CIA LTDA | US$ 35.578.170 | US$ 4.268.501 | 66 | Pichincha |
| 16 | DISTRIBUIDORA JOSE VERDEZOTO CIA. LTDA. | US$ 57.803.124 | US$ 1.673.338 | 95 | Azuay |
| 17 | TECNOQUIMICAS DEL ECUADOR S.A. | US$ 47.231.478 | US$ 1.208.565 | 115 | Pichincha |
| 18 | MERCK C.A | US$ 39.722.395 | US$ 1.932.558 | 36 | Pichincha |
| 19 | BOTICAS UNIDAS DEL ECUADOR CA | US$ 40.212.275 | US$ 348.494 | 123 | Guayas |
| 20 | BEIERSDORF S.A. | US$ 43.908.401 | US$ 2.723.457 | 54 | Pichincha |
| 21 | GDFSE S.A.S. | US$ 47.348.590 | US$ 2.452.611 | 706 | Guayas |
| 22 | MERCK SHARP & DOHME (INTER AMERICAN) LLC. | US$ 35.082.999 | US$ 666.005 | 72 | Pichincha |
| 23 | COMPRIFARM S.A.. | US$ 44.691.965 | US$ 522.521 | 410 | Guayas |
| 24 | LABORATORIO CLINICO ECUA-AMERICAN LAB.E.A. CIA. LTDA. | US$ 32.009.470 | US$ 3.739.287 | 388 | Pichincha |
| 25 | CADENA DE FARMACIAS SUIZA CADFAS S.A. | US$ 45.025.559 | US$ 859.160 | 4 | Cañar |
| 26 | BAXTER ECUADOR S.A. | US$ 18.419.176 | US$ -1.945.781 | 147 | Pichincha |
| 27 | PFIZER CIA. LTDA. | US$ 17.776.956 | US$ 506.129 | 15 | Pichincha |
| 28 | ZOETISECUADOR CIA. LTDA. | US$ 26.598.322 | US$ 0 | 14 | Pichincha |
| 29 | OFTALVIS S.A. | US$ 24.415.612 | US$ 307.666 | 10 | Pichincha |
| 30 | SUMINISTROS MEDICOS Y DE LABORATORIO SUMELAB CIA. LTDA. | US$ 20.859.829 | US$ -3.644.387 | 60 | Pichincha |
| 31 | MEDICOPHARMA S.A. | US$ 11.578.978 | US$ 729.519 | 151 | Guayas |
| 32 | GFPHARMA ECUADOR S.A. | US$ 23.211.398 | US$ 86.247 | 80 | Pichincha |
| 33 | GENFAR DEL ECUADOR S.A.S. | US$ 15.729.125 | US$ 0 | 24 | Pichincha |
| 34 | JOHNSON & JOHNSON (ECUADOR) S.A. | US$ 16.160.704 | US$ 444.424 | 20 | Pichincha |
| 35 | LABORATORIOS CHALVER DEL ECUADOR C LTDA | US$ 20.629.392 | US$ 2.000.833 | 84 | Pichincha |
| 36 | TRANSCASH S.A. | US$ 21.518.203 | US$ 407.035 | 117 | Guayas |
| 37 | ORCEVAL DISTRIBUCIONES CIA. LTDA. | US$ 1.712.753 | US$ -188.381 | 3 | Pichincha |
| 38 | GENOMMALAB ECUADOR S.A. | US$ 19.893.065 | US$ 1.818.045 | 19 | Guayas |
| 39 | LABORATORIOS LA SANTE COMPAÑIA LIMITADA | US$ 17.167.793 | US$ 83.131 | 42 | Guayas |
| 40 | BERKANAFARMA S.A. | US$ 16.514.239 | US$ 554.166 | 78 | Pichincha |
| 41 | ORGANON-ECUADOR S.A. | US$ 12.570.635 | US$ -328.609 | 19 | Pichincha |
| 42 | VANTTIVE CIA. LTDA | US$ 21.083.997 | US$ 541.628 | 42 | Pichincha |
| 43 | PHARMACY & NUTRITION PHARNUTRI S.A. | US$ 6.780.400 | US$ 1.427.572 | 22 | Guayas |
| 44 | GARCOS S.A. | US$ 16.661.501 | US$ -186.090 | 75 | Pichincha |
| 45 | TOTALCARE PHARMA S.A. | US$ 8.063.965 | US$ 138.567 | 55 | Guayas |
| 46 | FAES FARMA DEL ECUADOR S.A. | US$ 12.671.627 | US$ 2.398.024 | 63 | Pichincha |
| 47 | CORPORACION MAGMA ECUADOR S.A | US$ 11.065.887 | US$ -163.747 | 35 | Pichincha |
| 48 | PFIZER PFE CIA.LTDA. | US$ 7.622.719 | US$ 245.372 | 3 | Pichincha |
| 49 | RODDOME PHARMACEUTICAL S.A. | US$ 11.057.270 | US$ -1.681.045 | 92 | Pichincha |
| 50 | IMPVET IMPORTADORA VETERINARIA CIA. LTDA. | US$ 14.983.207 | US$ 943.750 | 29 | Guayas |
| 51 | LABSOPHIA DE ECUADOR CIA.LTDA. | US$ 13.463.309 | US$ 592.151 | 35 | Pichincha |
| 52 | DISTRIBUIDORA CADENA ESPINOSA CIA. LTDA. | US$ 15.377.834 | US$ 136.845 | 172 | Azuay |
| 53 | VIMIN VITAMINAS Y MINERALES CA | US$ 12.469.916 | US$ 923.474 | 20 | Pichincha |
| 54 | INDUSTRIAS REUNIDAS CIA. LTDA. INDUNIDAS LABORATORIOS INDUNIDAS | US$ 9.664.333 | US$ 1.565.819 | 115 | Guayas |
| 55 | ARMIJOS ROMERO CIA. LTDA. | US$ 12.572.249 | US$ 214.298 | 78 | Azuay |
| 56 | ACINO-PHARMA ECUADOR S.A. | US$ 8.996.781 | US$ 120.290 | 21 | Pichincha |
| 57 | PORTUGAL LABORATORIOS DEL ECUADOR PORLADELCU S.A.S. | US$ 9.111.036 | US$ 951.248 | 16 | Guayas |
| 58 | PHARMEDIC S.A. | US$ 4.409.855 | US$ 95.496 | 12 | Guayas |
| 59 | GEDEONRICHTER ECUADOR S.A. | US$ 8.736.970 | US$ 757.149 | 34 | Pichincha |
| 60 | FARMACIA BRAVO LOPEZ BRALOZ CIA. LTDA. | US$ 11.695.458 | US$ 6.923 | 144 | Azuay |